1245627819 NPI number — JEFFREY S. ALMONY, MD, DDS, PA

Table of content: (NPI 1245627819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245627819 NPI number — JEFFREY S. ALMONY, MD, DDS, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JEFFREY S. ALMONY, MD, DDS, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245627819
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
145 HORIZON TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ABERDEEN
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28315-7423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-725-1403
Provider Business Mailing Address Fax Number:
910-725-1443

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
125 MURRAY HILL RD
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SOUTHERN PINES
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28387-6354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-725-1403
Provider Business Practice Location Address Fax Number:
910-725-1443
Provider Enumeration Date:
04/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
ALMONY
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
STEWART
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
910-691-2790

Provider Taxonomy Codes

  • Taxonomy code: 261QS0112X , with the licence number:  8130 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89902X1 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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